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General NPI Number Information
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NPI Number | 1154294577
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Entity Type | Organization
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Legal Business Name | CARDONA HEALTH CARE SERVICES, A PROFESSIONAL NURSING CORPORATION
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Dates
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Enumeration Date | 09/24/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 16526 ODYSSEY DR UNIT 48
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City | GRANADA HILLS
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State | CA
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Zip | 91344
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Country | US
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Telephone | 818-741-5683
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Fax |
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Provider Business Mailing Address
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Address Line | 16526 ODYSSEY DR UNIT 48
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City | GRANADA HILLS
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State | CA
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Zip | 91344
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Country | US
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Telephone | 818-741-5683
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. ANTONIO CARDONA JR.
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Credential | FNP
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Telephone | 818-741-5683
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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